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luvyrself
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Default May 02, 2019 at 04:25 PM
  #1
Have you bipolars used lithium with tegretol,? I now take tegretol—higher than 400 mg tegretol gives me word loss. This would be to drop the 75 mg Wellbutrin that pushes me up too high. On the meds u see below, I am usually hypomanic enough to cause some problems. Better than slumping down to the depressive side, but I talk too much, can be tactless, etc.

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Bipolar 2 with anxious distress
mixed states & rapid cycling under severe stress
tegretol 200 mg
wellbutrin 75 mg, cut in half or higher dose as needed
Regular aerobic exercise
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Default May 03, 2019 at 10:35 PM
  #2
You are trying to do two things at once, which opens up the possibility of a confounding effect. You want to remove Wellbutrin to counteract the tendency to cause hypomania AND you want to add the antimanic effect of Lithium, or, do be more precise, the antimanic synergy between Lithium and Tegretol (see A lithium and carbamazepine combination in the treatment of bipolar disorder--a preliminary report. - PubMed - NCBI). Why not take it one step at a time and first remove Wellbutrin and see how you do on a monotherapy of Tegretol, and if you are still hypomanic, then consider adding Lithium into the mix?

You also need to look up drug interactions between Lithium and Tegretol - both are very old drugs with lots of side effects.

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Bipolar I w/Psychotic features

Zyprexa Zydis 5 mg
Gabapentin 1200 mg
Melatonin 10 mg
Levoxyl 75 mcg (because I took Lithium in the past)


past medications: Depakote, Lamictal, Lithium, Seroquel, Trazodone, Risperdal, Cogentin, Remerol, Prozac, Amitriptyline, Ambien, Lorazepam, Klonopin, Saphris, Trileptal, Clozapine and Clozapine+Wellbutrin, Topamax
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Default May 04, 2019 at 07:49 AM
  #3
For some reasons none of the NIH sites will load on my computers. So bad.
I cant start by dropping the Wellbutrin because I immediately go down. Need. To titrate down anyway even on a low dose.
I have taken lithium, preferably lithobid successfully. I guess the dosages will be critical to make this work.

__________________
Bipolar 2 with anxious distress
mixed states & rapid cycling under severe stress
tegretol 200 mg
wellbutrin 75 mg, cut in half or higher dose as needed
Regular aerobic exercise
SKILLSET/KNOWLEDGE BASE:
Family Medical Advocate
Masters in Library Science
Multiple Subject Teaching Credential-15 yrs in public schools
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